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Individual
ERNIE PORTEZA BALCUEVA
Active
Individual
ERNIE PORTEZA BALCUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
EB034288
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301034288
MI
Other
Enumeration date
06/16/2006
Last updated
04/06/2021
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